A 34-year-old woman and her male partner have attempted conception for 14 months. She has regular 29-day cycles and no pelvic pain. He has no

Question

A 34-year-old woman and her male partner have attempted conception for 14 months. She has regular 29-day cycles and no pelvic pain. He has no children. Neither has had prior evaluation. Which of the following is the most appropriate next step in management?

Accepted Answer

Obtain semen analysis and assess ovulation and tubal factors

Answer

Begin in vitro fertilisation without evaluation

Answer

Perform hysterectomy

Answer

Advise waiting 5 more years

Answer

Prescribe testosterone to the male partner empirically

Infertility evaluation — USMLE Step 3 MCQ

A 34-year-old woman and her male partner have attempted conception for 14 months. She has regular 29-day cycles and no pelvic pain. He has no children. Neither has had prior evaluation. Which of the following is the most appropriate next step in management?